Outpatient procedure · APC 5313 · Surgery or procedure

Level 3 Lower GI Procedures

In 2024, Medicare and patients paid an average of $2,703 per procedure at 923 hospitals. Half of hospitals averaged between $2,436 and $2,862.

Also known as: Colonoscopy, lower endoscopy

National figures, 2024

Average payment per case: $2,703
Typical range (middle half of hospitals): $2,436–$2,862
Medicare’s share: $2,17680% of the payment
Average billed charge: $18,904
Hospitals reporting: 92332,745 procedures

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Year of care

914 hospitals reported at least 11 Medicare procedures for this in 2024; showing 501–550. Download as CSV

Medicare payments per case for Level 3 Lower GI Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 180093	12	$2,598	About average	$2,070	$25,286
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 030024	16	$2,602	About average	$2,038	$23,837
Memorial Hermann Northeast HospitalHumble, TX · CCN 450684	15	$2,602	About average	$2,152	$26,208
Houston Methodist West HospitalHouston, TX · CCN 670077	24	$2,602	About average	$2,150	$19,946
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	42	$2,602	About average	$2,133	$17,928
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	38	$2,602	About average	$2,132	$23,809
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	27	$2,603	About average	$2,118	$18,550
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 670122	21	$2,603	About average	$2,115	$25,388
HCA Houston Healthcare KingwoodKingwood, TX · CCN 450775	11	$2,603	About average	$2,098	$59,683
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	22	$2,603	About average	$2,097	$19,656
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	43	$2,605	About average	$2,135	$12,839
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	85	$2,605	About average	$2,095	$15,021
Emory Decatur HospitalDecatur, GA · CCN 110076	21	$2,606	About average	$2,082	$15,682
Tanner Medical Center - CarrolltonCarrollton, GA · CCN 110011	13	$2,606	About average	$2,076	$10,740
Northside HospitalAtlanta, GA · CCN 110161	43	$2,606	About average	$2,076	$21,871
Northside Hospital ForsythCumming, GA · CCN 110005	24	$2,606	About average	$2,068	$17,960
Uw HealthRockford, IL · CCN 140228	11	$2,607	About average	$2,077	$28,883
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX · CCN 670108	35	$2,607	About average	$2,164	$12,673
UT Health East Texas Jacksonville HospitalJacksonville, TX · CCN 450194	34	$2,609	About average	$2,087	$35,102
North Memorial Health HospitalRobbinsdale, MN · CCN 240001	29	$2,610	About average	$2,072	$7,443
Range Regional Health ServicesHibbing, MN · CCN 240040	12	$2,613	About average	$2,126	$13,321
Inova Fairfax HospitalFalls Church, VA · CCN 490063	70	$2,614	About average	$2,092	$8,349
Southside Community Hospital, IncFarmville, VA · CCN 490090	15	$2,615	About average	$2,164	$20,617
Vcu Health Tappahannock HospitalTappahannock, VA · CCN 490084	25	$2,615	About average	$2,158	$13,943
Regions HospitalSaint Paul, MN · CCN 240106	34	$2,616	About average	$2,131	$7,992
Carolina East Medical CenterNew Bern, NC · CCN 340131	23	$2,616	About average	$2,125	$13,876
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	44	$2,617	About average	$2,115	$28,358
Onslow Memorial HospitalJacksonville, NC · CCN 340042	11	$2,617	About average	$2,085	$13,212
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	38	$2,617	About average	$2,096	$22,611
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	83	$2,619	About average	$2,115	$14,421
Meadville Medical CenterMeadville, PA · CCN 390113	33	$2,619	About average	$2,176	$19,478
Munson Medical CenterTraverse City, MI · CCN 230097	19	$2,620	About average	$2,077	$10,234
United Hospital Center, IncBridgeport, WV · CCN 510006	35	$2,620	About average	$2,114	$9,244
UnityPoint Health - MeriterMadison, WI · CCN 520089	36	$2,621	About average	$2,085	$12,526
Sanford Medical Center FargoFargo, ND · CCN 350011	204	$2,631	About average	$2,179	$12,721
Intermountain Health St Vincent Regional HospitalBillings, MT · CCN 270049	32	$2,631	About average	$2,155	$12,558
Sanford Medical Center BismarckBismarck, ND · CCN 350015	47	$2,631	About average	$2,151	$13,274
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	39	$2,632	About average	$2,100	$18,341
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 430016	75	$2,632	About average	$2,125	$14,929
St. Patrick HospitalMissoula, MT · CCN 270014	23	$2,632	About average	$2,124	$8,006
Inova Mount Vernon HospitalAlexandria, VA · CCN 490122	33	$2,632	About average	$2,140	$5,978
Stafford Hospital, LLCStafford, VA · CCN 490140	13	$2,632	About average	$2,138	$12,621
Virginia Hospital CenterArlington, VA · CCN 490050	56	$2,632	About average	$2,133	$13,321
Black Hills Surgical Hospital LLCRapid City, SD · CCN 430091	20	$2,632	About average	$2,104	$5,889
Inova Alexandria HospitalAlexandria, VA · CCN 490040	52	$2,632	About average	$2,125	$6,380
Inova Loudoun HospitalLeesburg, VA · CCN 490043	15	$2,632	About average	$2,124	$8,185
Avera St LukesAberdeen, SD · CCN 430014	13	$2,632	About average	$2,097	$13,172
Billings Clinic HospitalBillings, MT · CCN 270004	12	$2,632	About average	$2,097	$8,697
Jefferson Abington HospitalAbington, PA · CCN 390231	27	$2,634	About average	$2,123	$16,435
Ascension All Saints HospitalRacine, WI · CCN 520096	12	$2,636	About average	$2,132	$12,159

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 23,889 procedures at 763 hospitals · 2021: 28,304 procedures at 832 hospitals · 2022: 30,296 procedures at 877 hospitals · 2023: 31,010 procedures at 904 hospitals · 2024: 32,745 procedures at 923 hospitals

View data as a table

National average payment and billed charge for Level 3 Lower GI Procedures
Year of care	Average payment	Average billed charge
2020	$2,352	$16K
2021	$2,472	$16K
2022	$2,487	$17K
2023	$2,568	$18K
2024	$2,703	$19K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states

Average payment by state for Level 3 Lower GI Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	1	78	$1,458	$1,458–$1,458
Alabama	10	295	$2,259	$2,181–$2,330
Mississippi	12	222	$2,262	$2,239–$2,350
Louisiana	13	341	$2,316	$2,219–$2,378
Tennessee	17	594	$2,318	$2,279–$2,325
South Carolina	19	974	$2,346	$2,332–$2,423
West Virginia	8	332	$2,348	$2,314–$2,379
Ohio	38	1,142	$2,361	$2,389–$2,451
Oklahoma	11	418	$2,364	$2,335–$2,419
Kentucky	15	481	$2,374	$2,365–$2,419
Utah	5	127	$2,391	$2,515–$2,515
Kansas	12	353	$2,402	$2,320–$2,451
Iowa	9	383	$2,410	$2,406–$2,421
Nebraska	5	210	$2,441	$2,419–$2,530
New Mexico	3	124	$2,441	$2,392–$2,545
Georgia	28	817	$2,442	$2,345–$2,560
Missouri	21	723	$2,443	$2,389–$2,497
Arkansas	9	286	$2,455	$2,406–$2,479
Michigan	31	974	$2,461	$2,446–$2,530
Texas	56	1,679	$2,481	$2,417–$2,539
Wisconsin	17	533	$2,488	$2,521–$2,621
North Carolina	28	979	$2,490	$2,435–$2,528
Virginia	32	1,368	$2,501	$2,417–$2,619
Florida	66	2,357	$2,502	$2,468–$2,543
Idaho	4	102	$2,530	$2,518–$2,568
Indiana	25	727	$2,536	$2,467–$2,558
Maine	6	195	$2,586	$2,482–$2,627
Pennsylvania	49	1,702	$2,595	$2,507–$2,709
South Dakota	5	234	$2,629	$2,632–$2,632
North Dakota	4	302	$2,631	$2,598–$2,646
Illinois	42	1,446	$2,639	$2,595–$2,666
Colorado	17	358	$2,651	$2,581–$2,673
Montana	5	117	$2,662	$2,631–$2,632
Minnesota	13	675	$2,709	$2,655–$2,684
Arizona	18	521	$2,726	$2,704–$2,738
New Hampshire	7	194	$2,752	$2,630–$2,767
District of Columbia	4	187	$2,782	$2,793–$2,872
Delaware	5	193	$2,796	$2,816–$2,817
Wyoming	1	12	$2,819	$2,819–$2,819
Rhode Island	2	49	$2,820	$2,821–$2,839
Oregon	7	196	$2,857	$2,809–$2,914
Washington	24	758	$2,859	$2,815–$2,893
Alaska	1	13	$2,898	$2,898–$2,898
Massachusetts	34	1,609	$2,977	$2,955–$3,015
New Jersey	29	1,236	$2,980	$2,939–$3,010
Nevada	6	97	$2,984	$3,007–$3,007
New York	51	2,279	$3,067	$2,945–$3,171
Connecticut	15	376	$3,097	$3,035–$3,159
Hawaii	1	28	$3,137	$3,137–$3,137
California	82	3,349	$3,550	$3,451–$3,731

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.